ABSTRACT
Gastrointestinal sarcoidosis commonly occurs subclinically, with clinical manifestations present in only 0.1 to 0.9% of patients with the disease. Gastric sarcoidosis particularly involves the antrum. Small bowel, liver and spleen involvement is seen in approximately 10% of patients with systemic sarcoidosis. We report a rare case of gastrointestinal sarcoidosis of the stomach and terminal ileum, affecting the liver and spleen without pulmonary involvement, who responded favorably to corticosteroid treatment
Subject(s)
Humans , Female , Gastrointestinal Diseases/etiology , Gastrointestinal Diseases/pathology , Sarcoidosis/drug therapyABSTRACT
We report a case of severe hyperkalemia as a result of treatment with potassium sparing diuretics, digoxin and angiotensin receptor antagonist valsartan in the presence of renal insufficiency. Inspite of a maximal serum potassium concentration of 10.3 mmol/l, only non-specific ECG changes were found. The patient survived after an uneventful dialysis. Thus severe hyperkalemia may present without typical ECG changes, and values exceeding 10.3 mmol/l may not necessarily be fatal